Orthopaedic operating room considerations in covid-19 pandemic: A systematic review

Verma, Tarun; Anurag, Tiwari; Yugal, Karkhur; Kumar, Raj; Maini, Lalit

doi:10.1016/j.jajs.2021.02.008

Cited by 4 publications

(4 citation statements)

References 24 publications

(75 reference statements)

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“…Recommendations for UV light to be installed in air conditioning ducting overlook that most transmission occurs in the immediate proximity to infected people. High‐efficiency particulate air (HEPA) filters are a cost‐effective means of control to supplement ventilation and can be used with AGPs and when negative pressure rooms are not available, but with a requirement for increased maintenance and changing of filters 119,157–159 …”

Section: Workplace Ventilationmentioning

confidence: 99%

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COVID‐19 infection and the broader impacts of the pandemic on healthcare workers

et al. 2022

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The severe acute respiratory syndrome coronavirus (SARS‐CoV‐2) disease or COVID‐19 pandemic is associated with more than 230 million cases and has challenged healthcare systems globally. Many healthcare workers (HCWs) have acquired the infection, often through their workplace, with a significant number dying. The epidemiology of COVID‐19 infection in HCWs continues to be explored, with manifold exposure risks identified, leading to COVID‐19 being recognised as an occupational disease for HCWs. The physical illness due to COVID‐19 in HCWs is similar to the general population, with some HCWs experiencing a long‐term illness, which may impact their ability to return to work. HCWs have also been affected by the immense workplace and psychosocial disruption caused by the pandemic. The impacts on the psychological well‐being of HCWs globally have been profound, with high prevalence estimates for mental health symptoms, including emotional exhaustion. Globally, governments, healthcare organisations and employers have key responsibilities, including: to be better prepared for crises with comprehensive disaster response management plans, and to protect and preserve the health workforce from the physical and psychological impacts of the pandemic. While prioritising HCWs in vaccine rollouts globally has been critical, managing exposures and outbreaks occurring in healthcare settings remains challenging and continues to lead to substantial disruption to the health workforce. Safeguarding healthcare workforces during crises is critical as we move forward on the new path of ‘COVID normal’.

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Section: Workplace Ventilationmentioning

confidence: 99%

“…High-efficiency particulate air (HEPA) filters are a cost-effective means of control to supplement ventilation and can be used with AGPs and when negative pressure rooms are not available, but with a requirement for increased maintenance and changing of filters. 119,[157][158][159]…”

Section: Workplace Ventilationmentioning

confidence: 99%

COVID‐19 infection and the broader impacts of the pandemic on healthcare workers

et al. 2022

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“…Rather than road traffic accidents, domestic trauma seemed to have stood out during the pandemic period especially falls from any height involving the elderly due to the long period of social distancing and domestic confinement [ 16 , 19 ]. On top of that, the presence of comorbidities and the severe co-infection by SARS-CoV-2 virus also became important risk factors for FRI in this population, according to the multicenter study by McDonald et al [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Prior use of antibiotics and immunosuppression are risk factors for fracture-related infection during the COVID-19 pandemic period: a Brazilian prospective cohort study

Santos

Prebianchi

Santos

et al. 2022

BMC Musculoskelet Disord

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Background Little is known about the role of COVID-19 pandemic period on the epidemiology of fracture-related infection (FRI). The present study summarizes the changes in the prevalence, microbiology, and risk factors of FRI during this period. Methods A prospective single-center cohort study assessed in the setting of COVID-19 pandemic (2020–2021), clinical, microbiological aspects, and independent risk factors (RF) of FRI. RFs were estimated by bivariate and multivariable analyses using prevalence ratio (PR) with significance at P < 0.05. Kaplan–Meier analysis was performed to evaluate treatment outcomes. Results Overall, 132 patients were analyzed, with patients with age over 65 years accounting 65.1%. FRI was diagnosed in 21(15.9%) patients. Independent RFs for FRI were recent and preoperative use of systemic antibiotics (PR: 7.0, 95% confidence interval (95% CI): 2.2 – 22.4, p = 0.001) and cancer (PR: 9.8, 95% CI: 2.0 – 48.8, p = 0.005). Cultures yielded Gram-negative bacteria in 77.8%, 33.3% were MDR. Conclusions We found higher rates of FRI, predominating in the elderly with closed femoral fractures during the COVID-19 pandemic. Prior use of antibiotics and immunosuppression conditions were independent factor for FRI. Our outcomes provide evidence to avoid the empirical use of antibiotics prior to surgery for fracture stabilization.

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“…24 A High-e ciency particulate absorbing (HEPA) lter with ltration e ciency of more than 99.97% was routinely used along with laminar air ow. [25][26][27][28] The operating room temperature was set to 21 degrees Celsius, and a continuous suction device with a pressure of 200mmHg or higher was routinely used with reusable suction tips. 29,30 Two reusable suction tips (Jarit Suction Tip Fraizer No 12) that were treated with the same sterilization protocol were prepared (Fig.…”

Section: It Was Carried Out According To the Declaration Of Helsinkimentioning

confidence: 99%

Reusable suction tips can be a source of infection in joint arthroplasty: Tips for reducing periprosthetic joint infection

Song

Koh

Jeong

et al. 2023

Preprint

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The purpose of this study was to analyze whether actual reusable suction tips can be a source of infection by incubating material on suction tips before and after surgery. A prospective study was planned, and 142 orthopedic patients scheduled for surgery were selected. Before and after surgery, the material from the reusable suction tips of the study group was incubated and analyzed by operation time to confirm whether the actual bacterial culture was positive. At the beginning of surgery, a culture-positive finding was seen in seven patients (5.1%). The suction tip investigation at the end of surgery showed bacterial contamination in only two patients (1.4%). Among the patients who were positive on the preoperative evaluation, none of them were positive in postoperative culture findings. None of the patients with positive postoperative culture had an operation time of less than three hours. To reduce the risk of infection when performing joint arthroplasty, great effort should be made to sterilize the surgical instruments, and it is recommended that the surgery be performed in a short time with a well-designed heating, ventilation, and air conditioning (HVAC) system.

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Orthopaedic operating room considerations in covid-19 pandemic: A systematic review

Cited by 4 publications

References 24 publications

COVID‐19 infection and the broader impacts of the pandemic on healthcare workers

COVID‐19 infection and the broader impacts of the pandemic on healthcare workers

Prior use of antibiotics and immunosuppression are risk factors for fracture-related infection during the COVID-19 pandemic period: a Brazilian prospective cohort study

Reusable suction tips can be a source of infection in joint arthroplasty: Tips for reducing periprosthetic joint infection

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